| Doctor Name: | MS. ANNA MIRIAM BETANCOURT |
| NPI Number: | 1952625444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | NU00002007 |
| Business Practice Address: | 690 Barnes Boulevard Mcchord Afb Airmen's Clinic Joint Base Lewis Mcchord, WA - 984381304 |
| Business Phone Number: | 2539827973 |
| Business Fax Number: | 2539820332 |
| Mailing Address: | 4811 Davis Pl S Unit B, RENTON |
| State: | WA |
| Postal Code: | 980557988 |
| Phone Number: | 4255720327 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2010 |
| NPI Last Update Date: | 03/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | NU00002007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |